Anterior Ankle Arthroscopy: Advantage of a Preoperative Ultrasound Mapping to Prevent Neurovascular Complications.

IF 1 4区生物学 Q3 BIOLOGY

Biological Rhythm Research Pub Date : 2022-12-01 Epub Date: 2022-03-16 DOI:10.1007/s40477-021-00611-w

Marcello Lughi, Mauro Cevolani, Gabriele Testi, Emanuele Piraccini, Francesco Lijoi

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引用次数: 1

Abstract

Purpose: The aim of this study is to verify the usefulness of ultrasound-assisted mapping of the vascular and neurological structures in the anterior compartment of the ankle just before an anterior arthroscopic procedure to reduce these kinds of complications.

Methods: Various complications can be present in anterior arthroscopy of the ankle. The structures most prone to iatrogenic damage are vessels and nerves. They are macroscopically visible and palpable in a little more than 50% of cases, but arterial ramifications are not visible because they are located deeper.

Results: The authors have investigated how to reduce potential iatrogenic damage to the complex and variable neuro-vascular network of the anterior aspect of the ankle. They have completed the classic routine marking of the bony and tendinous structures with an ultrasound mapping of the neurovascular structures.

Conclusions: The authors concluded that ultrasound-assisted mapping is a non-invasive, fast, and safe procedure that can help to reduce potential iatrogenic damage when performing anterior arthroscopic surgery.

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前踝关节镜检查:术前超声定位预防神经血管并发症的优势。

目的:本研究的目的是验证超声辅助踝关节前房室血管和神经结构的测绘在前关节镜手术前的有效性，以减少这类并发症。方法:踝关节前镜检查可出现多种并发症。最容易受到医源性损伤的结构是血管和神经。在略多于50%的病例中，它们在宏观上可见并可触及，但动脉分支不可见，因为它们位于较深的位置。结果:作者研究了如何减少对踝关节前部复杂多变的神经血管网络的潜在医源性损伤。他们已经完成了骨和肌腱结构的经典常规标记，并对神经血管结构进行超声测绘。结论:作者认为超声辅助定位是一种无创、快速、安全的方法，在进行前关节镜手术时有助于减少潜在的医源性损伤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Biological Rhythm Research 生物-生理学

CiteScore

3.00

自引率

9.10%

发文量

审稿时长

6-12 weeks

期刊介绍： The principal aim of Biological Rhythm Research is to cover any aspect of research into the broad topic of biological rhythms. The area covered can range from studies at the genetic or molecular level to those of behavioural or clinical topics. It can also include ultradian, circadian, infradian or annual rhythms. In this way, the Editorial Board tries to stimulate interdisciplinary rhythm research. Such an aim reflects not only the similarity of the methods used in different fields of chronobiology, but also the fact that many influences that exert controlling or masking effects are common. Amongst the controlling factors, attention is paid to the effects of climate change on living organisms. So, papers dealing with biometeorological aspects can also be submitted. The Journal publishes original scientific research papers, review papers, short notes on research in progress, book reviews and summaries of activities, symposia and congresses of national and international organizations dealing with rhythmic phenomena.